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2009 - 2010 Swim Season Senior & National Development Name:

Telephone:

Email:

Name to be embroidered:

Level:

VISA #

Expiry date:

MC #

Expiry date:

Invoice#:

Please make cheques payable to: Swim & Sports Required Items

Please circle size required

Quantity

Price Per item

Tax Per item

Team latex cap Team silicone cap Aquablade brief - youth Aquablade brief - adult Aquablade jammer - youth Aquablade jammer - adult Aquablade recordbreaker - youth Aquablade recordbreaker - adult FSII jammer - youth FSII jammer - adult FSII recordbreaker - youth FSII recordbreaker - adult FSPro jammer FSPro recordbreaker FSPro kneeskin Team T-shirt - youth Team T-shirt - adult Team track jacket - youth Team track jacket - female Team track jacket - male Team parent shirt - female Team parent shirt - male TYR kickboard Jr TYR kickboard Streamline TYR pullbuoy Jr TYR pullbuoy Sr Speedo fins

One size only One size only 22 24 26 28 30 32 34 36 22 24 26 28 30 32 34 36 18 20 22 24 26 28 30 32 34 36 38 40 22 24 26 28 30 32 34 36 20 22 24 26 28 30 32 34 36 38 22 24 26 28 30 32 34 36 24 26 28 30 32 34 26 24 25 25L 26 26L 27 27L 28 28L S M L XL S M L XL S M L XS S M L XL XS S M L XL XXL XS S M L XL XS S M L XL XXL One size only One size only One size only One size only XXS XS S M L XL XXL

$6.00 $18.00 $41.25 $41.25 $67.50 $67.50 $75.00 $75.00 $126.00 $126.00 $126.00 $126.00 $140.00 $140.00 $210.00 $15.00 $15.00 $69.00 $69.00 $69.00 $26.00 $26.00 $16.20 $28.80 $14.40 $15.75 $36.00

$0.78 $2.34 $2.06 $5.36 $3.38 $8.78 $3.75 $9.75 $6.30 $16.38 $6.30 $16.38 $18.20 $18.20 $27.30 $0.75 $1.95 $3.45 $8.89 $8.89 $3.38 $3.38 $2.11 $3.74 $1.87 $2.05 $4.68

Optional Items Team hooded sweatshirt - youth Team hooded sweatshirt - adult Team track pant - youth Team track pant - female adult Team track pant - male adult Team backpack Swim & Sports mesh bag Swim & Sports water bottle Speedo parka - youth Speedo parka - adult

S M L XL S M L XL S M L XS S M L XL XS S M L XL XXL One size only One size only One size only SML XS S M L XL XXL

$35.00 $35.00 $44.00 $44.00 $44.00 $74.50 $10.79 $7.20 $120.00 $120.00

$1.75 $4.55 $2.20 $5.72 $5.72 $9.69 $1.40 $0.94 $6.00 $15.60

Total

Total


http://csca.org/nyac/2009-10-senior-natdevelopment-equipment-orderform